Question: What should I expect with gallbladder surgery as a longtime ileostomate?

Answer: Based on the discussions from MeetAnOstoMate, here is some advice and insights for someone with a long-term ileostomy facing gallbladder surgery:

- Surgical Approach: Many ostomates have undergone gallbladder removal, often via laparoscopic surgery, which is generally considered straightforward. Surgeons can usually work around the stoma, even if it is high-placed.

- Post-Operative Concerns: While some worry about post-operative ileus (bowel "falling asleep"), many members reported no such complications. It's advisable to discuss concerns with your surgeon and request to stay in the hospital until stoma output is confirmed.

- Output Changes: After gallbladder removal, some experience changes in output consistency, often becoming looser. This is usually temporary, and dietary adjustments, such as a low-fat diet, can help manage it.

- Risk of Diarrhea: A minority of ostomates experience "bile-salt diarrhea" post-surgery, which can be managed with medications like cholestyramine. Monitoring output and consulting with a physician if issues arise is recommended.

- Emotional Support: Many members emphasize the importance of discussing all concerns with your surgical team and preparing for potential changes in output. Bringing extra ostomy supplies to the hospital is also advised.

- General Advice: Trust in the surgical team and modern techniques, which can minimize complications. Most members report significant relief from gallbladder-related pain post-surgery.

Overall, while concerns about diarrhea and vomiting are valid, many ostomates have successfully managed these issues with proper planning and medical support.

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